Risk classification in a pediatric service: evaluation of the structure, process, and outcome
| Title: | Risk classification in a pediatric service: evaluation of the structure, process, and outcome |
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| Authors: | Karynne Borges Cabral, Cristiane Chagas Teixeira, Julianna Malagoni Cavalcante Oliveira, Jacqueline Andreia Bernardes Leão Cordeiro, Keila Cristianne Trindade da Cruz, Leidiene Ferreira Santos, Virginia Visconde Brasil, Lizete Malagoni de Almeida Cavalcante Oliveira |
| Source: | Revista Brasileira de Enfermagem, Vol 75, Iss 1 (2021) |
| Publisher Information: | Associação Brasileira de Enfermagem, 2021. |
| Publication Year: | 2021 |
| Collection: | LCC:Nursing |
| Subject Terms: | Risk Assessment, Pediatrics, Emergency Medical Services, Pediatric Emergency Medicine, Nursing, RT1-120 |
| More Details: | ABSTRACT Objectives: to evaluate a pediatric risk evaluation and classification service in the aspects of structure, process, and outcome. Methods: a cross-sectional, descriptive, and exploratory study in which qualitative data complement the results. Data collection by non-participant observation, interview, and consultation of medical records. Results: we observed two hundred and four visits. The service works in a makeshift room and without privacy. The nurses did not use various materials/equipment available for evaluation, rarely performed a physical examination, used the interview most of the time, and did not consult the protocol. Parents/companions received no information, and medical records showed incomplete records. Nurses classified 69.1% of the children as non-emergency. The most frequent outcome of the visits was discharge. Conclusions: the service showed weaknesses in the physical structure, in the risk classification process, and the outcomes, but it presents a good resolution in the assistance. We recommend a revision in the protocol used and sensitize nurses about the work process and communication with parents/companions. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English Spanish; Castilian Portuguese |
| ISSN: | 1984-0446 0034-7167 |
| Relation: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672022000100167&tlng=pt; http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672022000100167&tlng=en; https://doaj.org/toc/1984-0446 |
| DOI: | 10.1590/0034-7167-2021-0022 |
| Access URL: | https://doaj.org/article/a659a968411a4cbbbe94f8d76673fad1 |
| Accession Number: | edsdoj.659a968411a4cbbbe94f8d76673fad1 |
| Database: | Directory of Open Access Journals |
| ISSN: | 19840446 00347167 |
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| DOI: | 10.1590/0034-7167-2021-0022 |
| Published in: | Revista Brasileira de Enfermagem |
| Language: | English Spanish; Castilian Portuguese |